Security Check Request

Please print this form, fill it out completely and deliver it to the front desk at the Carthage Police Department at 4396 US Hwy 15-501 or mail to P.O. Box 236 Carthage, N.C. 28327. Or if you choose you may use the online form. Thank you.

Residents Name:Physical Address:Mailing Address:Request Made By:Phone Number:Reason for Extra Patrol:VacationPremise will be VacantExtra PatrolType of Premises::ResidentialCommercialVacant LotProtected by Alarm System:YesNoLights Left On?:Keys Left with - Include Phone #:Please list anyone with permission to be on the property.:Emergency Contact - Please include Phone #:Start Checking:End Checking ( Please call and let us know your home ):